Latest ArticlesTo explore the association between sleep quality and dry eye symptoms in adolescents, so as to provide the evidence for reducing the prevalence of dry eye symptoms.
The study population was adolescents aged 12-24 years from the Psychology and Behavior Investigation of Chinese Residents (PBICR) survey, which was conducted from 20 June to 31 August 2022. A stratified random sampling and quota sampling method was used to select 6 456 adolescents within mainland China. The Ocular Surface Disease Index (OSDI) and Brief version of the Pittsburgh Sleep Quality Index (B-PSQI) were used to assess dry eye symptoms and sleep quality. Multiple Logistic regression model was used to explore the relationship between sleep quality and dry eye symptoms in adolescents. The influence of gender on the association was explored by using interaction terms.
A total of 2 815 adolescents reported having dry eye symptoms, with a prevalence of 43.6%. Logistic regression analysis results showed an increased risk of exacerbation of dry eye symptoms in adolescents with poor sleep quality. The OR(95%CI) for mild, moderate, and severe dry eye symptoms groups were 1.39(1.16-1.67), 1.52(1.28-1.81), and 2.35(2.02-2.72), respectively, compared with the ocularly normal group (P < 0.05). There was a significant interaction between sleep quality and gender on dry eye symptoms in adolescents (P < 0.01).
Sleep quality is associated with dry eye symptoms in adolescents, and those with poor sleep quality have a higher risk of dry eye symptoms. The effect of sleep quality on dry eye symptoms is greater in boys.
To understand the influenza vaccination rate and related factors of children in Xiqing District of Tianjin, so as to provide a scientific basis for improving the influenza vaccination coverage rate among children.
A stratified random cluster sampling method was employed to select junior high school students and below students from 15 schools in five directions(east, west, south, north, midland) in Xiqing District, Tianjin, involving 13 075 students. A questionnaire survey was conducted among parents of students to analyze the influenza vaccination rate of children in 2023-2024 flu season (October to March of the following year). A binary Logistic regression model was used to analyze the factors affecting influenza vaccination.
The influenza vaccination rate was 16.66% for children in Xiqing District of Tianjin, in 2023-2024 flu season, among them, the vaccination rate in kindergartens was the highest (28.86%), followed by primary schools (18.87%) and junior high schools (12.61%). Binary Logistic regression analysis showed that having received the influenza vaccine during the 2020-2022 (OR=10.55, 95%CI=9.48-11.73), parents' awareness of influenza-related knowledge (OR=1.38, 95%CI=1.24-1.54), kindergarten children (OR=2.33, 95%CI=1.91-2.83), primary school students (OR=1.26, 95%CI=1.12-1.42), parents with a postgraduate degree or above (OR=1.62, 95%CI=1.13-2.31), and a monthly average family income of 10 000- < 20 000 yuan (OR=1.67, 95%CI=1.41-1.99) were positive correlation factors with influenza vaccination of children (P < 0.05). Among parents of children who have not received the flu vaccine, 61.61% fully accepted flu vaccination or accepted but still considered. The most popular way for parents to obtain flu knowledge was flu prevention and control information from professional institutions during the flu season (77.38%).
The influenza vaccination rate among kindergarten, as well as primary and junior high school students in Xiqing District of Tianjin is low. Promotion of influenza vaccination among children and increase the vaccination rate of influenza among children might help reduce the risk of campus flu outbreak.
To understand the health status of primary school freshmen in Guiyang and the health management service needs of parents after examination, so as to provide a reference for establishment of a collaborative health management framework involving schools, families, and healthcare providers.
From September to October 2024, a stratified random cluster sampling method was used in Guiyang City to select 3 210 students and 3 133 parents who participated in the physical examination for primary school freshmen. Demographic indicators, physical examination indicators and laboratory examination indicators of students were collected, and parents' needs for post examination health management service were investigated by self-designed questionnaire. Multiple linear regression analysis was adopted to investigate the related factors of parents' health management service needs after the examination.
The detection rates of common illness among primary school freshmen were 60.22% for dental caries, 17.23% for screening myopia, 6.11% for obesity, 3.86% for iron deficiency anemia, and 1.15% for scoliosis. The co-occurrence rate of common illness among freshmen during the physical examination was 23.89% (n=767), among which the comorbidity rate of screening myopia and dental caries (8.22%) and obesity and dental caries (4.27%) were higher. About 63.80% parents indicated that the physical examination items were simple, and 2 366 parents (75.52%) indicated a demand for post-examination management services; the average score of parents' demands for post-examination services was (3.12±0.70). In terms of the scores of each dimension, the mean score of nutrition and health (3.58±0.74) was the highest, while the lowest mean score was for traditional Chinese medicine health care (2.77±0.67). The mean scores for the other dimensions were as follows: exercise intervention (3.29±0.79), psychological monitoring (3.17±0.58), and health education and signing (2.81±0.73). The results of multiple linear regression analysis showed that parents' educational level (junior high school, high school/vocational school, college/undergraduate and above), living conditions (floating), and children's illness status (1, 2, >3 types) were the related factors of parents' health management service needs after the entrance examination for new students (B=2.16, 3.07, 3.68; -2.19; 3.14, 3.34, 3.11, P < 0.05).
The prevalence of common illness in primary schools in Guiyang is characterized by a heavy burden from single diseases, with a notable occurrence of multiple comorbidities. After the physical examination, parents have obvious demand for follow-up health management services. These health management services should integrate the concept of multi-disease prevention according to the needs of parents.
Short-form video applications provide a new mode of online participation for college students, but also bring some problematic issues, especially short-form video addiction among college students. The article expounds the definition, influencing factors and adverse impacts on physical and mental health of short-form video addiction among college student users by systematically reviewing the existing domestic and foreign literature regarding college students' short-form addiction. Awareness should be raised among families, schools and society regarding college students' addiction to short-form video, and healthy usage of short-form video are encouraged among college students to reduce the risk of addiction to short-form video.
The issue of multimorbidity in children and adolescents is becoming increasingly prominent, but there is no consensus on the definition of multimorbidity. As research deepens, issues related to the comparability and standardization of relevant findings are gradually emerging. As a solution, a systematic review of both domestic and international research on multimorbidity is conducted, and a classification system for defining the concept of multimorbidity is proposed, offering more convenient conditions for the advancement of future research and cross-study exchange.
In order to explore the pathogenesis of autism spectrum disorder (ASD) from a new perspective, it is found through literature review that vitamin D(Vit D) may play a significant role in the onset and development of ASD by inhibiting early brain overgrowth, regulating metabolism of central nervous system, modulating immune responses, reducing inflammation and influencing genome stability. Furthermore, Vit D supplementation in individuals with ASD has shown to alleviate symptoms. However, the mechanisms by which Vit D affects ASD remains unclear, and the effectiveness of Vit D treatment in improving ASD symptoms remains controversial due to variations in sample sizes, detection methods, dosage and confounding factors. Future research needs to focus on multi-center, large-scale randomized controlled trials and ASD animal models with Vit D deficiency to further explore the specific role of Vit D in the pathogenesis and treatment of ASD, which could provide reliable evidence for the early detection, intervention and treatment of ASD.
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